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Dental X-rays: The Inside Story

December 1st, 2021

We’re all friends here, so if you sometimes feel a bit nervous before your dental appointment, no judging! Ask us about any worries you might have. We are happy to explain procedures, equipment, and sedation options so you know just how safe and comfortable your experience can be. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes patients feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, Wi-Fi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is termed radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs.  

There are different types of common dental X-rays which are used for a number of reasons:

  • Bitewing X-rays, which are used to check on the health of the back teeth.
  • Periapical X-rays, which allow us to look at one or two specific teeth from crown to root.
  • Occlusal X-rays, which show the entire arch of teeth in the upper or lower jaw.
  • Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.
  • Cone Beam Computed Tomography, an external device which uses digital images to create a three-dimensional picture of the teeth and jaws.

Why Do We Need X-rays?

If all of our dental conditions were visible on the surface, there would be no need for X-rays. But there are many conditions that can only be discovered with the use of imaging—infection, decay, a decrease in bone density, or injuries, for example, can show up as darker areas in the teeth or jaws. Among their many diagnostic uses, X-rays can help us find:

  • Cavities between teeth or under old fillings
  • Damage to the tooth’s pulp which might require root canal treatment
  • Injuries to teeth or roots after trauma
  • Abscesses, tumors, or other conditions that might be causing swelling or pain
  • Position and development of wisdom teeth
  • Ideal placement for implants
  • Health and density of the jaw and alveolar bone

X-rays can also serve an important preventative role, by discovering small problems before they become major ones.

How Do Dentists Make Sure Your X-rays Are As Safe As They Can Be?

First of all, the amount of radiation you are exposed to with a dental X-ray is very small. In fact, a set of bitewing X-rays exposes us to slightly less than the amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson and our team are committed to making sure patients are exposed to as little radiation as possible.

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We ensure that imaging is safe and effective in a number of ways:

  • We take X-rays only when they are necessary.
  • We provide protective gear, such as apron shields and thyroid collars, whenever needed.
  • We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
  • When treating children, we set exposure times based on each child’s size and age.

And now that we’ve talked about some things you might like to know,

Please Let Us Know If . . .

  • You’re a new patient, with previous X-rays taken during regular exams or for specific procedures. Ask to have your older X-rays sent to our office. With digital X-ray technology, this transfer can be accomplished with e-mail! Having your dental history available lets us notice any changes that have taken place.
  • You’re pregnant, or think you might be pregnant. Even though radiation exposure is very low with dental radiographs, unless there is a dental emergency, dentists and doctors recommend against X-rays for pregnant patients.

X-rays play an important part in helping us make sure your teeth stay their healthiest. If you have any concerns, contact our Romeoville, IL office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!

Periodontal Disease in Adolescents

November 24th, 2021

Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson and our team at High Point Dental Group know that periodontal disease isn't something exclusive to adults. It can affect adolescents as well. Gingivitis, which is a milder form of periodontitis, is a form of periodontal disease, and a warning that more serious problems may arise. Untreated gingivitis can develop into full-blown periodontitis.

The American Academy of Periodontology (AAP) explains that research proves that younger people may develop more severe forms of gingivitis. Gingivitis is linked to periodontal disease. Children and adolescents who have type 1 diabetes or immune deficiencies are more likely to suffer from periodontal disease.

There are three types of periodontal diseases Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson and our team see in children and adolescents.

Chronic gingivitis

Parents may suspect that their adolescent has chronic gingivitis if he or she shows or complains of symptoms such as redness, swelling, or bleeding gums. Early treatment may prevent gingivitis from developing into a more severe form of periodontal disease.

Aggressive and/or chronic periodontitis

Once called adult periodontitis, the term chronic replaces “adult” because periodontitis can occur in people in their early teenage years, and progress throughout their teens. Chronic and aggressive periodontitis primarily affects incisors and first molars. One of its distinguishing characteristics is bone loss. Curiously, patients who suffer from this form of the disease have minimal dental plaque on examination.

Generalized aggressive and chronic periodontal disease

This form of periodontal disease has many of the same characteristics of the chronic and aggressive form, but this more severe type of the disease affects the entire mouth. Symptoms include major plaque and calculus accumulation, and inflamed gums.

In both forms of more severe periodontal disease, the overall gum structure may change. The severity of these changes may alter gum strength enough to loosen teeth, or even worse, cause them to fall out.

The success of any treatment is largely contingent on early diagnosis. Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson should conduct a thorough periodontal exam as part of an adolescent’s twice-yearly complete dental examinations.

The mouth is full of bacteria. Some of it is necessary for food digestion. Diseases are more likely to develop if bacteria travel to open places in the mouth, such as exposed gum pockets or cavities. Proper dental hygiene is essential for a healthy mouth, and a healthy mouth offers greater protection against painful dental diseases.

Be sure every member of your family has a complete dental exam and cleaning twice a year, and contact Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson when you or your young kids or adolescents complain of pain, sensitivity, or other oral problems. Early detection at our Romeoville, IL office leads to treatment of oral problems and prevents them from turning into serious periodontal disease and potentially irreversible problems.

What’s the advantage of Invisalign®?

November 17th, 2021

Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson and our team know it is natural for you to feel some concern when you need to wear any type of dental device to correct a problem with your teeth. Both braces and Invisalign can produce good results in giving you the smile you’ve always wanted. Both methods can straighten your teeth and alleviate such issues as crowding, spacing, cross bite, overbite, and underbite. Both methods of treatment have a similar cost.

You can take a cross-country road trip in a ten-year-old economy car or you can make the trip in a brand-new luxury sedan. Both will get you to your destination, but you will be far more comfortable traveling in the luxury sedan. Similarly, your journey to a great smile is much more comfortable and convenient with Invisalign as opposed to braces.

Comfort

Some of the discomfort you may experience with braces is greatly reduced with Invisalign. Because Invisalign is custom-fit to your mouth and made of plastic, you will feel less pain, irritation, and soreness. Unlike braces, there are no food restrictions; you can eat anything that is on your diet.

Brushing and flossing

Of course you will want to brush and floss your teeth to prevent plaque buildup, tooth discoloration, and dental decay. If you wear braces, these simple tasks can become quite a challenge. Invisalign aligners are very easy to remove and replace, so you can brush or floss like normal without having to work your way around any metallic framework covering your teeth.

Appearance

You do not have to be embarrassed to show your teeth when you are using the Invisalign system. Since the aligners are practically invisible, no one will even notice you are wearing them! Whether you are a teenager or an older adult, you can live your life normally.

If you want to learn more about Invisalign, or are wondering what your treatment options are at High Point Dental Group, feel free to give us a call at our convenient Romeoville, IL office!

A Spot of Trouble?

November 10th, 2021

Your smile is in the spotlight every day, helping you greet the world with confidence! But when you’re self-conscious about discolored spots on your teeth, it’s time to get some professional advice to deal with these troublesome tints.

Discolored patches, both dark and light, can develop for a number of different reasons. Some markings are cosmetic only, and some spots require treatment. Some can be removed with a professional cleaning, and some might require more serious restoration. Let’s have a look at some of the common causes of enamel discoloration.

  • Cavities

Decayed enamel can appear as a brown spot on the tooth. A dark edge around a filling might mean decay underneath.

Regular checkups at our Romeoville, IL office will help catch small cavities before they become big ones. If you need a filling, the filling color can be matched to your tooth color for an undetectable restoration.

  • Demineralization

Bacteria in plaque produce acids, which attack our teeth. These acids erode minerals such as calcium and phosphorus from enamel, leaving a weak spot that is vulnerable to decay. This process is called “demineralization,” and often leaves a whiter spot on a tooth where minerals have leached away. Common reasons for demineralization are neglecting dental hygiene, failure to clean around braces, and a diet filled with sugary and acidic foods.

Fluoride and enamel-strengthening toothpastes, a healthy saliva flow, and a balanced diet help our teeth “remineralize,” bathing teeth in minerals that can help replace those that have been lost. But if you have lingering white spots due to demineralization, Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson can provide some options, including whitening, microabrasion, and veneers.

  • Fluorosis

Fluorosis is a cosmetic condition caused by exposure to too much fluoride while the permanent teeth are still forming (generally, during the years before a child’s eighth birthday). Small white spots and patches are a common result of mild fluorosis. In more serious cases, teeth can be pitted and stained with brown, gray, or black spots.

Preventing fluorosis begins in early childhood. Talk to Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson about fluoride levels in local tap water if you have any concerns. Use only the recommended amount of toothpaste (the size of a grain of rice for children three and under; the size of a pea for children three to six), and show your child how to spit out toothpaste and rinse after brushing. Keep fluoride toothpastes and other fluoride products out of the reach of young children. Don’t give children fluoride supplements or fluoride rinses without discussing it with Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson.

If your own teeth have been affected by fluorosis, talk to us. Again, this is a cosmetic condition affecting otherwise healthy teeth. Whitening treatments can be helpful in mild cases, microabrasion has been effective for mild to moderate cases, and, for severe cases, cosmetic restorations such as bonding and veneers are an option.

  • Tartar

Are you seeing an accumulation of dark brown spots and stains on your teeth, especially between the teeth and at the gum line? This might mean that you have tartar buildup. When you brush plaque away every day, your enamel stays smooth and clear. But when plaque builds up over time, it hardens and becomes tartar.

How hard is tartar? So hard that it can only be removed with a professional cleaning. Eliminate this source of spots and staining with twice daily brushing and daily flossing, and make sure regular professional cleanings are on your calendar.

  • Other Causes

Medications taken while teeth were developing (notably, antibiotics in the tetracycline family) can cause discoloration. Medical conditions such as celiac disease and enamel hypoplasia can affect both tooth color and enamel formation.

Cosmetic treatment and restorations can help with discoloration caused by medications, and restorations such as bonding, veneers, and crowns can restore tooth appearance and function when medical conditions cause imperfections in enamel color and structure.

If you’re unhappy with the overall whiteness of your smile, a professional whitening might be just what you’re looking for. If specific patches, streaks, and spots of a different color are dimming your bright smile, it’s time for an exam. Drs. Angela Paros, Amer Atassi, Eric Young, Alexander Katsnelson will be able to tell you the reason for any discolored enamel as well as present you with all your treatment options. Put the spotlight back where it belongs—on your healthy, confidant smile!